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<title>Solicitud de contacto</title>
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<table width="600" border="0" cellpadding="0"  								cellspacing="0" height="80">
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<h2 align="center" style="margin-top: 0; margin-bottom:  								0">Solicitud de contacto </h2>
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<table width="100%" border=1 cellPadding=5  								cellSpacing=0 bgcolor="#eeeeee" bordercolor="#C0C0C0">

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<td width="100%" align="center" vAlign=middle>
<form action="1.php" method="post"  								class="bodytext"><!--begin Form -->
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<b>Rellena los campos siguientes</b></td>
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<td height="20" bgcolor="#CCCCCC" align="left">Nombre  								completo: *</td>
<td height="20" bgcolor="#CCCCCC" align="left">E-mail:  								*</td>
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<tr>
<td align="center" height="28">
<INPUT NAME="fullname" TYPE="TEXT" SIZE="30"  								MAXLENGTH="50"></td>

<td width="50%" align="center" height="28">
<INPUT TYPE="TEXT" MAXLENGTH="50" SIZE="30"  NAME="mail"></td>
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<td colspan="2" height="20" bgcolor="#CCCCCC"  								align="left">Tlf:</td>
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<td colspan="2" align="center" height="28">
<INPUT NAME="Tlf" TYPE="TEXT" SIZE="68"  								MAXLENGTH="68"></td>
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<td colspan="2" height="40" bgcolor="#CCCCCC"  								align="left">Fax:</td>
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<td colspan="2" align="center" height="48">
<INPUT NAME="Fax" TYPE="TEXT" SIZE="68"  								MAXLENGTH="68"></td>
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<td colspan="2" height="40" bgcolor="#CCCCCC"  								align="left">DNI/NIF:</td>
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<td colspan="2" align="center" height="48">
<INPUT NAME="DNI/NIF" TYPE="TEXT" SIZE="68"  								MAXLENGTH="68"></td>
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<td colspan="2" height="40" bgcolor="#CCCCCC"  								align="left">Fecha/nacimiento:</td>
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<td colspan="2" align="center" height="48">
<INPUT NAME="Fecha/nacimiento" TYPE="TEXT" SIZE="68"  								MAXLENGTH="68"></td>
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<td colspan="2" height="40" bgcolor="#CCCCCC"  								align="left">Empresa:</td>
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<td colspan="2" align="center" height="48">
<INPUT NAME="Empresa" TYPE="TEXT" SIZE="68"  								MAXLENGTH="68"></td>
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<td colspan="2" height="40" bgcolor="#CCCCCC"  								align="left">Sexo:</td>
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<td colspan="2" align="center" height="48">
<INPUT NAME="Sexo" TYPE="TEXT" SIZE="68"  								MAXLENGTH="68"></td>
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<td colspan="2" height="40" bgcolor="#CCCCCC"  								align="left">Pais:</td>
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<td colspan="2" align="center" height="48">
<INPUT NAME="Pais" TYPE="TEXT" SIZE="68"  								MAXLENGTH="68"></td>
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<td colspan="2" height="40" bgcolor="#CCCCCC"  								align="left">Provincia/Estado:</td>
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<td colspan="2" align="center" height="48">
<INPUT NAME="Provincia/Estado" TYPE="TEXT" SIZE="68"  								MAXLENGTH="68"></td>
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<td colspan="2" height="40" bgcolor="#CCCCCC"  								align="left">Poblacion:</td>
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<td colspan="2" align="center" height="48">
<INPUT NAME="Poblacion" TYPE="TEXT" SIZE="68"  								MAXLENGTH="68"></td>
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<td colspan="2" height="20" bgcolor="#CCCCCC"  								align="left">Comentarios:</td>
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<td colspan="2" align="center" height="80">
<TEXTAREA ROWS="5" COLS="64"  NAME="bodyl"></TEXTAREA></td>
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<td width="100%" align="CENTER" COLSPAN="2">
<input type="submit" name="envio" value="Enviar"  								size="20">&nbsp;&nbsp;
<input name="reset" type="reset" value="Limpiar"  								size="20"></td>
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<td align="left">* Campo obligatorio </td>
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